Kenna Elmendorf-burns PA-C

NPI 1043264344 - Physician Assistant - 363A00000X

NPI Details
NPI 1043264344
Gender Female
Enumeration Date 05/20/2006
Last Updated 11/06/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
11 CENTURY HILL DR
SUITE 206
LATHAM NY, 12110-2151, US
Phone (518) 331-1936
Fax
Business Location
11 CENTURY HILL DR
SUITE 206
LATHAM NY, 12110-2151, US
Phone (518) 331-1936
Fax
Toxanomy
Taxonomy Code 363A00000X
License State New York
License Number 003381
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According to our database, Kenna Elmendorf-burns PA-C NPI is 1043264344, taxonomy code is 363A00000X and license number is 003381, license state is located at New York. Kenna Elmendorf-burns PA-C physically located at 11 Century Hill Dr, Latham NY, 12110-2151. NPI Number Kenna Elmendorf-burns PA-C has the Individual type.

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1043264344 NPI number is provided on an as is basis without warranty of any kind. 1043264344 is maintained by the National Plan & Provider Enumeration System. The contents of Kenna Elmendorf-burns PA-C are for informational purposes only.